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Individual

CASEY MARIE DEBOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
1208 COYOTE CT, ABINGDON, MD 21009-4312
(410) 417-7305
Mailing address
1307 FORDHAM CT, BEL AIR, MD 21014-2006
(410) 961-1886

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24930
MD

Other

Enumeration date
07/03/2019
Last updated
03/05/2024
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